性别差异分析脑缺血后医院获得性感染败血症和肺炎风险的患者

Gender differences in the risk of hospital acquired infection sepsis and pneumonia after cerebral ischemia

目的探讨不同性别脑缺血后患者医院获得性感染导致的神经功能恶化和不良结局的差异。方法回顾性分析2019-2021年某院住院的153例脑缺血患者病例资料,其中16例病例符合医院获得性败血症诊断,137例病例符合医院获得性肺炎诊断。对院内感染主要类型败血症和肺炎患者间的性别差异进行logistic多元变量回归分析。结果获得性败血症和肺炎疾病中,女性比男性患者所患疾病的概率较低,这种性别差异在各个年龄层中较相似。结论女性患者脑缺血后发生医院获得性败血症和肺炎的风险较低。

Objective To investigate the difference of neurological deterioration and adverse outcomes caused by nosocomial infection in patients with cerebral ischemia of different genders.Methods Data of 153 patients with cerebral ischemia admitted to a hospital from 2019 to 2021 were retrospectively analyzed.Among them,16 cases met the diagnosis of hospital-acquired sepsis and 137 cases met the diagnosis of hospital-acquired pneumonia.logistic multivariate regression analysis was carried out to analyze the gender difference between the main types of nosocomial infection sepsis and pneumonia.Results Acquired sepsis and pneumonia are less common in women than in men,and this gender difference is similar across all age groups.Conclusion Female patients have a lower risk of hospital acquired sepsis and pneumonia after cerebral ischemia.